Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Name*
Prefix
Mr. Mrs. Miss Ms. Dr. Prof. Rev.
First
Last
Suffix
Email*
Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Phone*
Company/organization If you are attending the conference on behalf of a company or organization, please provide the name below.
Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Disease subsets* Please indicate what eosinophil-associated disease(s) you are impacted by.
Other subset Please specify what other subsets you are interested in.
Is this your first APFED Conference?* How long has it been since diagnosis?* How did you learn about this event?* Friend or family member Healthcare professional Online search engine Another organization Social media News story Conference or meeting Scientific journal Other
Would you like to register additional people?* No Yes
How many additional people would you like to register?* 0 1 2 3 4 5 6
Participant #2: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #2: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #2: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #2: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #2: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #2: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Participant #3: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #3: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #3: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #3: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #3: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #3: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Participant #4: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #4: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #4: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #4: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #4: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #4: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Participant #5: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #5: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #5: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #5: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #5: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #5: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Participant #6: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #6: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #6: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #6: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #6: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #6: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Participant #7: Registration options* Please select a registration type. If you register as an onsite attendee your you will be prompted to select addition options.
Participant #7: Onsite conference options* In addition to sessions for adults and education partners, we offer special sessions for youth who will be in Middle or High School for the 2024-2025 school year. Children aged 10 and under are not permitted to attend programming, unless otherwise noted.
Participant #7: Name* Please provide first and last name. If attending onsite, this will be used for their name tag.
Participant #7: Email* This email will be used to log into the virtual conference platform and must be unique.
Participant #7: Email consent* Would you like APFED to contact you with information about other events, news of interest, and opportunities to support the eosinophilic community?
Participant #7: Relationships* What is your relationship to eosinophil-associated diseases? Please select all that apply.
Saturday Social: National Air and Space Museum Would you like to visit the National Air and Space Museum in D.C. as a group on the afternoon of Saturday, July 13? Entry to the museum is free.
Pending interest, we will follow up with transportation options, such as purchasing ticket(s) to ride a private bus or travel on the metro. This event is open to all ages.
Discount Code All APFED members receive free virtual registration for the event. Advocate Level members and higher are also eligible for a discount toward on-site attendance. Please check your email for the discount code.
Total The total will update after you select registration options.
$0.00
Address* This must match the address on your credit card
Credit Card Please note: The address and phone number you entered above must match the billing information for the credit card used to pay for your membership or the transaction will decline.
Event Waiver/Terms* EOS Connection, APFED’s Annual Patient Education Conference, (and related events, including miscellaneous social and gaming activities; collectively, the “Event”) is a charity event sponsored by the American Partnership for Eosinophilic Disorders (“APFED”). In consideration of APFED permitting me (or my child, who is under the age of 18) to participate in the Event, I have read and understand this statement and agree to assume all risk for personal injury or other physical or emotional ailment for me (or my child).
Further, I (or my child) hereby, and for my (or my child’s) legal representatives, heirs, executors, administrators, assigns, and all guardians, WAIVE, RELEASE AND DISCHARGE ANY AND ALL RIGHTS, CLAIMS AND CAUSES OF ACTION OF ANY NATURE, DIRECT OR INDIRECT, INCLUDING THOSE FOUNDED IN WHOLE OR PART UPON NEGLIGENCE, that I (or my child) may have against APFED and/or its collective sponsors, its directors, officers, employees, agents, chapters, assignees, licensees, volunteers and any cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns (the “Released Parties”) arising out of or resulting from any and all injuries or damages of any nature, including death, which I (or my child) may suffer while taking part in or arising out of the Event or any activity connected with the Event.
Photo Waiver For Onsite Attendees Only: If I (or my child) attend the conference in person, I (or my child) hereby consent to use my (or my child’s) name and any photographs, digital images, portraits, likenesses, writings or biographical information, audiotape and/or videotape recordings, sound or silent motion pictures of me (or my child) in any medium for news releases, use on the APFED website, editorial, educational, promotional, and advertising purposes, for the solicitation of contributions and/or for any other purpose in furtherance of the charitable purposes and objectives of APFED. I understand that I may opt out of this photo waiver by requesting a special NO PHOTO badge onsite at the conference registration desk and will agree to wear a special badge at all times to indicate to photographers that I do not want to be photographed.
By registering for this conference, I certify that I have read these terms and fully understand them. This agreement shall be binding upon me (or my child), my (or my child’s) legal representatives, heirs, executors, administrators, and assigns (and all legal guardians of my child).
Legal* Email This field is for validation purposes and should be left unchanged.